Individual
ANNETTE RENEE VIELLEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6190 STATE ROAD 36, BURLINGTON, WI 53105-9095
(414) 331-9376
Mailing address
6190 STATE ROAD 36, BURLINGTON, WI 53105-9095
(414) 262-4838
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5466-125
WI
103TC0700X
Clinical Psychologist
Primary
3365-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275-226
PROFESSIONAL COUNSELOR TRAINING LICENSE
WI
01
—
3365-57
PSYCHOLOGIST LICENSE
WI
01
—
5466-125
LPC LICENSE NUMBER
WI
Enumeration date
08/21/2011
Last updated
12/10/2025
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